EMILY COVENEY – Physician Assistant, NPI 1104551076

EMILY COVENEY is a healthcare provider. based in Wildwood, Missouri. specializing in PHYSICIAN ASSISTANT. The NPI Number for EMILY COVENEY is 1104551076

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
EMILY COVENEY
NPI
1104551076
Phone
(314) 630-2975
Address
574 SHADOWRIDGE DR
Enumeration Date
23 July 2022
Last Update Date
30 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3148729192
Graduation Year
2023 (3 years ago)
PAC ID
7315392636
Group Practice PAC ID
7214827922
Professional Enrollment ID
I20231006000322
Address ID
MO631418269SA621XXRDXX502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:3State licenses:0Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

Provider Addresses for EMILY COVENEY

  • 574 SHADOWRIDGE DR

    WILDWOOD, MO 630111718

    Phone: (314) 630-2975

    Type: Mailing

  • 333 MURFREESBORO PIKE

    NASHVILLE, TN 372102877

    Phone: (615) 248-1200

    Type: Location

  • PO BOX 776084

    CHICAGO, IL 606771105

    Phone: (636) 938-3399

    Type: Mailing

  • 20 THE LEGENDS PKWY

    EUREKA, MO 630253823

    Phone: (636) 938-3399

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231006000322IPhysician AssistantMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63011)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214827922View full group profile

Reviews

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Frequently asked questions

Does EMILY COVENEY have a public NPI I can cite?
Public records show EMILY COVENEY under NPI 1104551076.
Does the public listing show EMILY COVENEY as active?
EMILY COVENEY's NPI record reflects an active status in NPPES.
What does the directory say EMILY COVENEY does?
Insurance directories may phrase it differently, but here EMILY COVENEY maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to EMILY COVENEY?
The directory associates EMILY COVENEY with Wildwood, Missouri. Check all listed addresses for suites or satellite offices.
Who maintains EMILY COVENEY's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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